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General NPI Number Information
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NPI Number | 1598155459
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Entity Type | Organization
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Legal Business Name | DR. SHAWKY SOLIMAN, INC
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 150 S GRAND AVE STE F
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City | GLENDORA
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State | CA
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Zip | 91741-4720
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Country | US
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Telephone | 626-914-3150
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Fax | 626-914-3160
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Provider Business Mailing Address
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Address Line | 150 S GRAND AVE STE F
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City | GLENDORA
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State | CA
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Zip | 91741-4720
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Country | US
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Telephone | 626-914-3150
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Fax | 626-914-3160
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Authorized Official
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Title or Position | DENTIST
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Name | SHAWKY ANTONIOUS SOLIMAN
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Credential |
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Telephone | 626-914-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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